{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:07:47Z","timestamp":1791216467633,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The unique safety profile of pulsed field ablation (PFA) has made pulmonary vein isolation (PVI) + left atrial posterior wall (LAPW) ablation promising for treating persistent atrial fibrillation (PerAF). The goal of this study was to assess long\u2010term freedom from atrial fibrillation, atrial flutter, and atrial tachycardia (AF\/AFL\/AT), as well as the safety and feasibility of LAPW PFA using multipolar, pentaspline Farawave catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective observational study at a single institution. Data for 94 patients were collected from a prespecified intraprocedural registry. The long\u2010term AF\/AFL\/AT recurrence assessment was based on an analysis of medical history; 24\u2010h Holter ECGs at 3, 6, and 12 months postablation; and 12\u2010lead ECGs recorded during symptomatic episodes or visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Half of the patients had ls\u2010PerAF, and half had a history of catheter ablation\u2014mostly RF PVI. The acute ablation success rate was 100%, and the primary safety outcome was observed in 2 patients. Fifty patients experienced AF\/AFL\/AT recurrence (54.3%). An increase in LAPW low\u2010voltage areas and AF classification were associated with arrhythmia recurrence. After a median follow\u2010up of 13 months, the Kaplan\u2012Meier estimated median time free of AF\/AFL\/AT after a single procedure was 14.7 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PFA PVI\u2009+\u2009PWA had the best outcome in perAF patients without extensive LA fibrosis. AF recurrence was paroxysmal in significant part of the cohort. The addition of PWA to PVI using multipolar PFA was safe and did not significantly influence the transpired ablation time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16326","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T04:23:31Z","timestamp":1716870211000},"page":"1525-1535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Safety and effectiveness of additional left atrial posterior wall ablation using pulsed field ablation for persistent and long\u2010standing persistent atrial fibrillation patients"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1904-0259","authenticated-orcid":false,"given":"Lucija Lisica","family":"Kordi\u0107","sequence":"first","affiliation":[{"name":"Split Clinical Hospital Centre Split 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